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| Company Name |
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| Street Address |
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| City,State,Zip |
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| Phone Number |
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| Fax Number |
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| Email address |
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| Point of Contact |
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| Type of Test |
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| Test Item |
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| Number of Units |
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| Size (L x W x H) |
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| Weight |
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| Power requirements |
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List Tests and Applicable Specifications Here (ie. Shock Test per Mil-Std-810C, Method 516, Procedure I)
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| If Shock or Vibration Testing is required, do you have a fixture for mounting the test items to the test equipment? |
YES NO |
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| If YES, please provide the fixture's mounting hole pattern. |
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| Is a Test Report Required? |
YES NO |
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| Is a Certificate of Compliance Required? |
YES NO |
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| Do you want Raw Test Data Only? |
YES NO |
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| Approximate Timeframe that you would like to start testing |
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| Comments: |
Quotation turnaround time frames vary depending on the complexity
of your RFQ and our current backlog. Wyle Laboratories prefers a
minimum of 3 business days in which to reply. If you are in a rush,
however, please emphasize this under "comments" in this form and
Wyle Laboratories will respond accordingly, if possible. |
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